Individual provider Active NPI

Jan E Hipp, MD

  • Family Medicine Physician
  • Raymore, MO
National Provider Identifier
1639163181
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2004017634 Issued in MO
Practice address
1118 Remington PLZ
Raymore, MO 64083-8584
Phone
(816) 318-1725
Fax
(816) 318-1189
NPI assigned
Sep 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2004017634 MO Primary

Addresses

Primary practice location

1118 Remington PLZ
Raymore, MO 64083-8584

Mailing address

1118 Remington PLZ
Raymore, MO 64083-8588
Phone (816) 318-1725

Other identifiers 1

IdentifierTypeStateIssuer
208436915MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, KS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040929000762 MO Practitioner - Family Practice 4486623188 Reassigns benefits to 1 organization
I20150122002125 KS Practitioner - Family Practice 4486623188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at San Antonio, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kansas Carenow Urgent Care LLCGroup PAC ID 8527340702, 71 clinicians

Practice addresses (Care Compare)

1300 E N Ave
Belton, MO 64012-5108
Phone (816) 406-3443

13761 Metcalf Ave
Overland Park, KS 66223-7899
Phone (913) 814-3788

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2004017634MOMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carespot Professional Services LLC CurrentSince Aug 4, 2015 Accepting new patients
Raymore Medical Group LLC Family Medicine Past Accepting new patients
Midwest Medicine Associates LLC Past Accepting new patients

Locations

3500 W 95th St
Leawood, KS 66206
Phone (913) 305-3167

7935 W 151st St
Overland Park, KS 66223
Phone (913) 814-3788

9507 Antioch Rd
Overland Park, KS 66212
Phone (913) 227-4631

1215 NE Coronado Dr
Blue Springs, MO 64014
Phone (816) 622-3342

13551 Madison Ave
Kansas City, MO 64145
Phone (816) 256-3095

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1639163181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1118 REMINGTON PLZ",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838588",
            "telephone_number": "816-318-1725",
            "fax_number": "816-318-1189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1118 REMINGTON PLZ",
            "city": "RAYMORE",
            "state": "MO",
            "postal_code": "640838584",
            "telephone_number": "816-318-1725",
            "fax_number": "816-318-1189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIPP",
        "first_name": "JAN",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2004017634",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208436915",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raymore, MO

Sources for this page

Verify at the official NPI Registry.